Test Bank for Health Assessment for
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24
,Chapter 01: Introduction to Health Assessment UJ UJ UJ UJ UJ
MULTIPLE CHOICE UJ
1. Apatient comesto the emergencydepartment and tells the triage nurse that heis“h UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
avinga heart attack.” What isthe nurse’s top priorityat this time?
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
a. Determine thepatient’spersonal data andinsur UJ UJ UJ UJ UJ UJ
ance coverage. UJ
b. Ask the patient to take a seat in the waitingroo
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
m until his name iscalled.
UJ UJ UJ UJ UJ
c. Request that a nurse collect data for aco UJ UJ UJ UJ UJ UJ UJ UJ
mprehensive history. UJ
d. Ask a nurse to start a focused assessmentof
UJ UJ UJ UJ UJ UJ UJ UJ UJ
thispatient now. UJ UJ
ANSWER: D UJ
The nurse needs to begin an assessment as soon as possible that is focused on this patient’scardi
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ovascular system. The type of health assessment performed by the nurse is also drivenby patien
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
t need. Personal data and insurance information will be obtained, but in this situation, these data
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ U
can wait until after the patient is assessed. Based also on Maslow’s hierarchy of needs, physiolo
J UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
gic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin data c
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ollection, such as vital signs, immediately to determinethe patient’s health status. Complicatio
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ns can be prevented if an immediate assessment is made to analyze the patient’s symptoms. A c
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
omprehensive history is not indicated in this situation at this time. Some subjective data will be UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
collected, such as allergies and medical history related to cardiovascular disease. Eyes, ears, or
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
a complete musculoskeletal or mental healthassessment is not a priorityat this time.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Apply REF: Box 1-
UJUJU J UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
2. Which situationillustratesa screeningassessment?
UJ UJ UJ UJ UJ
a. A patient visits an obstetric clinic for the first t UJ UJ UJ UJ UJ UJ UJ UJ UJ
imeand the nurseconductsa detailedhistoryan UJ UJ UJ UJ UJ UJ UJ UJ
d physical examination. UJ UJ
b. Ahospital sponsors a health fair at a localma UJ UJ UJ UJ UJ UJ UJ UJ UJ
ll and provides cholesterol and blood press UJ UJ UJ UJ UJ UJ
ure checksto mall patrons. UJ UJ UJ UJ
c. The nurse in an urgent care center checksth UJ UJ UJ UJ UJ UJ UJ UJ
e vital signs of a patient who is complainin UJ UJ UJ UJ UJ UJ UJ UJ
gof legpain. UJ UJ UJ
, d. A patient newlydiagnosed with diabetesm
UJ UJ UJ UJ UJ UJ
ellitus comes to test his fasting blood gluc UJ UJ UJ UJ UJ UJ UJ
ose level. UJ
ANSWER: B UJ
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
a screening assessment focused on disease detection. A detailed history and physical examinati
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
on conducted duringa first-
UJ UJ UJ UJ
time visit to an obstetric clinic is an exampleof a comprehensive assessment. Assessing a patient
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
complaining of leg pain in the triage area of an urgent care center is an example of a problem-
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
based/focused assessment. A patient’s return appointment 1 month after today’s office visit to r UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
eport fasting blood glucose levels is an example ofan episodic or follow-up assessment.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand REF: Box 1-
UJUJU J UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEXPatient Needs: HealthPromotion and Maintenance: Health Screening
UJ UJ UJ UJ UJ UJ UJ UJ UJ
3. For whichpersonis a screeningassessment indicated?
UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who is unaware of hishighse
UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who is being admitted to alo
UJ UJ UJ UJ UJ UJ UJ UJ
ng-termcare facility UJ UJ
d. The person who isbeginning rehabilitationaft
UJ UJ UJ UJ UJ UJ
er a knee replacement
UJ UJ UJ
ANSWER: B UJ
A screening assessment is performed for the purpose of disease detection. In this case thispers
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
on may have diabetes mellitus. A shift assessment is most appropriate for the person who is re
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
covering in the hospital from surgery. A comprehensive assessment is performedduring admis
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
sion to a facility to obtain a detailed history and complete physical examination. An episodic o
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
r follow-
UJ
up assessment is performed after knee replacement toevaluate the outcome of the procedure.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand REF: Box 1-
UJUJU J UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
4. For whichperson isa shift assessment indicated?
UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who is unaware of hishighse UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who isbeing admitted to a UJ UJ UJ UJ UJ UJ UJ
long-termcare facility UJ UJ
d. The person who isbeginningrehabilitationaf UJ UJ UJ UJ UJ UJ
ter a knee replacement UJ UJ UJ
ANSWER: A UJ
A shift assessment is most appropriate for the person who is recovering in the hospital fromsurg
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ery. A screening assessment is performed for the purpose of disease detection, in this case diabe
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
tesmellitus. A comprehensive assessment isperformed duringadmission to a
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
, facility to obtain a detailed history and complete physical examination. An episodic or follo
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
w-
up assessment isperformed after knee replacement to evaluate the outcome of theprocedure.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand
UJUJU J REF: Box 1- UJ UJ UJ UJ
3 | p. 4TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
5. For whichpersonis a comprehensive assessment indicated?
UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who is unaware of hishighse UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who is being admitted to alo UJ UJ UJ UJ UJ UJ UJ UJ
ng-termcare facility UJ UJ
d. The person who isbeginning rehabilitationaft UJ UJ UJ UJ UJ UJ
er a knee replacement UJ UJ UJ
ANSWER: C UJ
Acomprehensive assessment isperformed duringadmission to a facilityto obtain a
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
detailed history and complete physical examination. A shift assessment is most appropriatefor
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
the person who is recovering in the hospital from surgery. A screening assessment is performe
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
d for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
up assessment is performed after knee replacement to evaluate the outcome of the procedure.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand
UJUJU J REF: Box 1- UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
6. For whichperson isanepisodic or follow-up assessment indicated?
UJ UJ UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who isunaware of his highse UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who isbeingadmitted to a UJ UJ UJ UJ UJ UJ UJ
long-termcare facility UJ UJ
d. The person who isbeginning rehabilitationaft UJ UJ UJ UJ UJ UJ
er a knee replacement UJ UJ UJ
ANSWER: D UJ
An episodic or follow-
UJ UJ UJ
up assessment is performed after the knee replacement to evaluate the outcome of the procedur
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
e. A shift assessment is most appropriate for the person who isrecovering in the hospital from s
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
urgery. A screening assessment is performed for the purpose ofdisease detection, inthiscase di
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
abetes mellitus. A comprehensive assessment is performed during admission to a facility to obt
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ain a detailed history and complete physicalexamination.
UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand
UJUJU J UJ UJ REF: Box 1- UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24
,Chapter 01: Introduction to Health Assessment UJ UJ UJ UJ UJ
MULTIPLE CHOICE UJ
1. Apatient comesto the emergencydepartment and tells the triage nurse that heis“h UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
avinga heart attack.” What isthe nurse’s top priorityat this time?
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
a. Determine thepatient’spersonal data andinsur UJ UJ UJ UJ UJ UJ
ance coverage. UJ
b. Ask the patient to take a seat in the waitingroo
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
m until his name iscalled.
UJ UJ UJ UJ UJ
c. Request that a nurse collect data for aco UJ UJ UJ UJ UJ UJ UJ UJ
mprehensive history. UJ
d. Ask a nurse to start a focused assessmentof
UJ UJ UJ UJ UJ UJ UJ UJ UJ
thispatient now. UJ UJ
ANSWER: D UJ
The nurse needs to begin an assessment as soon as possible that is focused on this patient’scardi
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ovascular system. The type of health assessment performed by the nurse is also drivenby patien
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
t need. Personal data and insurance information will be obtained, but in this situation, these data
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ U
can wait until after the patient is assessed. Based also on Maslow’s hierarchy of needs, physiolo
J UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
gic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin data c
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ollection, such as vital signs, immediately to determinethe patient’s health status. Complicatio
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ns can be prevented if an immediate assessment is made to analyze the patient’s symptoms. A c
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
omprehensive history is not indicated in this situation at this time. Some subjective data will be UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
collected, such as allergies and medical history related to cardiovascular disease. Eyes, ears, or
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
a complete musculoskeletal or mental healthassessment is not a priorityat this time.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Apply REF: Box 1-
UJUJU J UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
2. Which situationillustratesa screeningassessment?
UJ UJ UJ UJ UJ
a. A patient visits an obstetric clinic for the first t UJ UJ UJ UJ UJ UJ UJ UJ UJ
imeand the nurseconductsa detailedhistoryan UJ UJ UJ UJ UJ UJ UJ UJ
d physical examination. UJ UJ
b. Ahospital sponsors a health fair at a localma UJ UJ UJ UJ UJ UJ UJ UJ UJ
ll and provides cholesterol and blood press UJ UJ UJ UJ UJ UJ
ure checksto mall patrons. UJ UJ UJ UJ
c. The nurse in an urgent care center checksth UJ UJ UJ UJ UJ UJ UJ UJ
e vital signs of a patient who is complainin UJ UJ UJ UJ UJ UJ UJ UJ
gof legpain. UJ UJ UJ
, d. A patient newlydiagnosed with diabetesm
UJ UJ UJ UJ UJ UJ
ellitus comes to test his fasting blood gluc UJ UJ UJ UJ UJ UJ UJ
ose level. UJ
ANSWER: B UJ
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
a screening assessment focused on disease detection. A detailed history and physical examinati
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
on conducted duringa first-
UJ UJ UJ UJ
time visit to an obstetric clinic is an exampleof a comprehensive assessment. Assessing a patient
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
complaining of leg pain in the triage area of an urgent care center is an example of a problem-
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
based/focused assessment. A patient’s return appointment 1 month after today’s office visit to r UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
eport fasting blood glucose levels is an example ofan episodic or follow-up assessment.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand REF: Box 1-
UJUJU J UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEXPatient Needs: HealthPromotion and Maintenance: Health Screening
UJ UJ UJ UJ UJ UJ UJ UJ UJ
3. For whichpersonis a screeningassessment indicated?
UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who is unaware of hishighse
UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who is being admitted to alo
UJ UJ UJ UJ UJ UJ UJ UJ
ng-termcare facility UJ UJ
d. The person who isbeginning rehabilitationaft
UJ UJ UJ UJ UJ UJ
er a knee replacement
UJ UJ UJ
ANSWER: B UJ
A screening assessment is performed for the purpose of disease detection. In this case thispers
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
on may have diabetes mellitus. A shift assessment is most appropriate for the person who is re
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
covering in the hospital from surgery. A comprehensive assessment is performedduring admis
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
sion to a facility to obtain a detailed history and complete physical examination. An episodic o
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
r follow-
UJ
up assessment is performed after knee replacement toevaluate the outcome of the procedure.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand REF: Box 1-
UJUJU J UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
4. For whichperson isa shift assessment indicated?
UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who is unaware of hishighse UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who isbeing admitted to a UJ UJ UJ UJ UJ UJ UJ
long-termcare facility UJ UJ
d. The person who isbeginningrehabilitationaf UJ UJ UJ UJ UJ UJ
ter a knee replacement UJ UJ UJ
ANSWER: A UJ
A shift assessment is most appropriate for the person who is recovering in the hospital fromsurg
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ery. A screening assessment is performed for the purpose of disease detection, in this case diabe
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
tesmellitus. A comprehensive assessment isperformed duringadmission to a
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
, facility to obtain a detailed history and complete physical examination. An episodic or follo
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
w-
up assessment isperformed after knee replacement to evaluate the outcome of theprocedure.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand
UJUJU J REF: Box 1- UJ UJ UJ UJ
3 | p. 4TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
5. For whichpersonis a comprehensive assessment indicated?
UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who is unaware of hishighse UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who is being admitted to alo UJ UJ UJ UJ UJ UJ UJ UJ
ng-termcare facility UJ UJ
d. The person who isbeginning rehabilitationaft UJ UJ UJ UJ UJ UJ
er a knee replacement UJ UJ UJ
ANSWER: C UJ
Acomprehensive assessment isperformed duringadmission to a facilityto obtain a
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
detailed history and complete physical examination. A shift assessment is most appropriatefor
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
the person who is recovering in the hospital from surgery. A screening assessment is performe
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
d for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
up assessment is performed after knee replacement to evaluate the outcome of the procedure.
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand
UJUJU J REF: Box 1- UJ UJ UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
Priorities
6. For whichperson isanepisodic or follow-up assessment indicated?
UJ UJ UJ UJ UJ UJ UJ UJ UJ
a. The personwho had abdominal surgeryy UJ UJ UJ UJ UJ UJ
esterday
b. The person who isunaware of his highse UJ UJ UJ UJ UJ UJ UJ UJ
rum glucose levels UJ UJ
c. The person who isbeingadmitted to a UJ UJ UJ UJ UJ UJ UJ
long-termcare facility UJ UJ
d. The person who isbeginning rehabilitationaft UJ UJ UJ UJ UJ UJ
er a knee replacement UJ UJ UJ
ANSWER: D UJ
An episodic or follow-
UJ UJ UJ
up assessment is performed after the knee replacement to evaluate the outcome of the procedur
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
e. A shift assessment is most appropriate for the person who isrecovering in the hospital from s
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
urgery. A screening assessment is performed for the purpose ofdisease detection, inthiscase di
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
abetes mellitus. A comprehensive assessment is performed during admission to a facility to obt
UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ UJ
ain a detailed history and complete physicalexamination.
UJ UJ UJ UJ UJ UJ UJ
DIF: Cognitive Level: Understand
UJUJU J UJ UJ REF: Box 1- UJ UJ
3 | p. 3TOP: Nursing Process: Assessment
UJ UJ UJ UJ UJ UJ UJ
